TRICHOBEZOAR-A RARE CAUSE OF ABDOMINAL MASS AND GASTRIC OUTLET OBSTRUCTION

The authors present the clinical case of a 18 -year old girl with weight loss,anorexia,epigastric abdominal pain and post prandial vomiting with 4 months duration.There was a background of trichophagia for 5-6 years without evidence of alopecia and psychiatric history.The physical examination revealed an epigastric mass motionless,stony,with poorly defined limits, painful on palpation and about 35cm in diameter.Abdominal ultrasonography showed thickening of gastric wall and antrum with distension.The abdominal endoscopic examination revealed the presence of bulky trichobezoar occupying almost the entire gastric lumen.It was decided to undergo gastrotomy and extraction of the trichobezoar.In postoperative period cardiac support was given and patient passed motion after 3 days and discharged after 10 days. 1.